Community Advisory Council

Name

First Name

Last Name

Phone *

(###)

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How have you been involved with H.O.M.E.? Check all that apply.

Currently served by H.O.M.E.

Formerly served by H.O.M.E.

Resident of a H.O.M.E. building

Supporter

Community Member

We see lots of different ways this Council can support the work of H.O.M.E. Which activities would you like to participate in? Check all that apply.

Program Feedback, i.e. giving suggestions about what types of additional programming is needed and what we can offer

Advocacy, i.e. helping to identify public policies or neighborhood programs for H.O.M.E. to champion with or for low-income older people in Chicago

Marketing, i.e. helping H.O.M.E. get the word out about the services we offer

Building our “H.O.M.E. Family,” i.e. helping to organize in-person gatherings every so often to build community with one another

Sharing and Referrals, i.e. helping to build a knowledge base of tips and advice that will benefit not only the people H.O.M.E. serves but the Chicago community at large

Our initial plan for this Council is to meet quarterly (4x per year). If there are options for both in-person and online participation, how would you plan to participate?

In person: I have access to transportation, including CTA and rideshare

In person: I will need assistance securing transportation

Online